Organization Active NPI

Immaculate Homecare, LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1598647133
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IMMACULATE HOMECARE, LLC
Practice address
55 S State Ave Ste 3112
Indianapolis, IN 46201-3802
Phone
(317) 658-0273
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emili Jo Borem
Title
Owner
Phone
(317) 658-0273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

55 S State Ave Ste 3112
Indianapolis, IN 46201-3802

Mailing address

55 S State Ave Ste 3112
Indianapolis, IN 46201-3802
Phone (317) 658-0273

National Provider Directory

National Provider Directory

Locations

55 S State Ave
Ste 3112
Indianapolis, IN 46201
Phone (317) 658-0273

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1598647133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE STE 3112",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013802",
            "telephone_number": "317-658-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE STE 3112",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013802",
            "telephone_number": "317-658-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "BOREM",
        "authorized_official_first_name": "EMILI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-658-0273"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.